Employee Benefits Guide - CITY OF TACOMA

Transcription

2022CITY OF TACOMAEmployee Benefits GuideVersion 7-2022

Table of ContentsBenefits Program Overview . 2Eligibility . .2Qualifying Life Event Changes . .5Enrolling for Benefits . . .6Payroll Deductions . .8Termination of Benefits . . .8Benefits Video Library . . .9Questions/Contact Information . . . .9Medical Plan Options . 10Dental Plan Options 12Vision Plan Options .13Employee Assistance Program (EAP) . .14Life Insurance Options (Basic) . .15Life Insurance Options (Voluntary) . .16Disability Insurance Options (Basic) . . .17Disability Insurance Options (Voluntary) . 18Section 125 Flexible Benefits Spending Plan .19Health Savings Account (HSA) . 20Wellness Program . .21Leave Compensation (Holidays) . 22Leave Compensation (Sick Leave) .23Leave Compensation (Vacation) .24Leave Compensation (Personal Time Off) . .25Retirement Programs (Mandatory). 26Retirement Programs (Voluntary) . 27Commute Trip Reduction Program .28Federally Required Notices . .29

Benefit Program Introduction & OverviewWelcome to the City of Tacoma 2022 Plan Year benefits program. The purpose of this document is to assist youwith enrolling for your benefits package in order to address your personal health and financial well-being. Weencourage you to examine this booklet fully in order to understand the benefits available to you and your familymembers. It is designed to provide you general information about your benefit options along with details on thecost of those options and specific levels of coverage. Please take time to read and understand your options inorder to select the coverage which best meets the needs for you and your family.This guide is an overview of the benefit plans. This is not a legal document. Please refer to the plan booklet,certificate, policy, or collective bargaining agreement for more detailed information about the plans offered bythe City of Tacoma. If there are any discrepancies between this document and the plan documents, contracts, orpolicies, the plan documents, contracts, or policies will prevail.EligibilityUnless otherwise specified under the individual benefit section, the City of Tacoma provides benefit coverage foreligible employees (permanent, project appointive, temporary pending exam, and temporary), spouses/domesticpartners, and dependent children up to age 26. See below for the City of Tacoma’s eligibility requirements foremployees based on their work status and definition of eligible dependents.EmployeesFull-time Employees have mandatory employee benefit coverage, which is effective the first day of the monthfollowing their date of employment, unless they are hired on the first workday of the month and then theircoverage is effective immediately. Effective January 1, 2017, full-time employees will be allowed to opt-out or“waive” City provided medical, dental, and/or vision insurance with proof of enrollment in alternative coverageby completing a “Full-Time Employee Opt-Out/Waiver of Insurance Coverage” form and submitting it to theHuman Resources Benefits Office. Note: Full-time employees who fail to enroll for coverage within the electionperiod will be default enrolled in the Regence PPO medical plan.Part-Time Employees who are hired to work at least 20 hours a week may elect employee benefits. Part-timeemployees who work (30-39 hours) pay the same cost for their benefits as a full-time employee. Part-timeemployees who work (20-29 hours) pay a pro-rated share of the cost. If they do not choose to elect employeebenefits, they must complete a “Part-Time Employee Opt-Out/Waiver of Insurance Coverage” form and submit itto the Human Resources Benefits Office.*Temporary Employees have mandatory employee benefit coverage (for medical and dental), which is effective thefirst day of the month following 60 days of continuous employment. Effective January 1, 2017, full-timetemporary employees will be allowed to opt-out or “waive” City provided medical, dental, and/or visioninsurance with proof of enrollment in alternative coverage by completing a “Full-Time Employee OptOut/Waiver of Insurance Coverage” form and submitting it to the Human Resources Benefits Office. Note:Temporary employees who fail to enroll for coverage within the election period will be considered to havewaived coverage for their benefits. (See above under part-time employees if applicable.)DependentsThe following dependents are eligible for coverage on your benefit plans. When you request to enroll adependent on your benefit plan(s), you will be required to complete and submit a City of Tacoma “DependentEligibility Verification” form along with supporting documentation: Your legal spouseYour domestic partner (same sex or opposite sex)**Your, your spouse's, or domestic partner's natural child, adopted child, stepchild, or child legally placed with you oryour spouse or domestic partner for adoption under the age of 262 P a ge

A child for whom you or your spouse or domestic partner have court-appointed legal guardianshipYour, your spouse's or your domestic partner's otherwise eligible child who is age 26 or over and incapable of selfsupport because of physical, mental or developmental disability that prevents the child from establishing or maintainingconsistent employment or independence that began before their 26th birthday, if you complete and submit the affidavitof dependent eligibility form, with written evidence of the child's incapacity, within 31 days of the later of the child's26th birthday or your effective date and either:- They are a dependent immediately before their 26th birthday; or- Their 26th birthday preceded your effective date and he or she has been continuously covered as your dependenton group, individual, or other insurance plan (including public programs) coverage since that birthday.Newly hired employees wishing to enroll an eligible dependent must also be able to demonstrate that thedependent child has been covered on a group, individual, or other insurance plan (including public programs)immediately prior to enrollment on this plan.*See the Part-time Employee Benefits section for more details related to the pro-rated cost for your benefit options.**See the Domestic Partner Benefits section for more details related to the definition of domestic partner, benefits options available, andthe taxability of those benefits for your domestic partner dependents.Note: There are IRS restrictions related to the Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) benefits and using thesefunds for qualified expenses for certain dependents. The FSA plans may have restrictions for (domestic partners and children of domesticpartners) and the HSA may have restrictions for (domestic partners, children of domestic partners, and adult children). See the “Section 125Flexible Benefits Spending Plan” and “Health Savings Account (HSA)” sections of this booklet for more information before electing thesebenefit plan options.Dual CoverageEffective January 1, 2017, no City of Tacoma employee or eligible dependent may be insured under more thanone City of Tacoma medical, dental, or vision insurance plan. If you have dependents who are also employed bythe City of Tacoma, you will need to follow the below criteria when making your benefit elections. Please contactthe Human Resources Benefits Office with questions.SPOUSES / DOMESTIC PARTNERSWHO ARE CITY EMPLOYEESADULT CHILDREN UP TO AGE 26WHO ARE CITY EMPLOYEESElect the Same Medical/Dental/Vision PlansElect Your Own CoverageOne employee must elect family medical, dental, or visioncoverage paying the family premium (if applicable) and coverthe other City employee as a dependent on that benefit plan.The other employee must elect to waive that medical, dental orvision benefit plan.Elect Different Medical/Dental/Vision PlansEach employee will elect a different medical, dental or visionplan and pay the appropriate premium (if applicable)depending on whether they enroll dependent children on theplan. You may not provide coverage to your City employeespouse/domestic partner on your medical, dental, or visionplan. NOTE: Eligible dependent children may also only becovered on one City medical, dental, or vision plan.You may elect your own medical, dental, or vision coverage,and pay the appropriate employee only or family premiumcontribution (if applicable). Your parent(s) may not enroll youas a dependent on their City medical, dental, or vision plan.Enroll as a Dependent on Your Parent’s PlanIf you want to be enrolled as a dependent on your parent’s Citymedical, dental, or vision plan, you must elect to waive Citymedical, dental, or vision coverage and your parent mustenroll you as a dependent under their City medical, dental, orvision plan.3 P a ge

Part-time Employee BenefitsEligible part-time employees who work (30-39 hours) electing to enroll for the medical, dental, and visioninsurance will pay the same cost for their benefits as a full-time employee. Eligible part-time employees whowork (20-29 hours) electing to enroll for the medical, dental, and vision insurance will be required to pay a prorated share of the cost of those benefit plans based on the hours the employee is hired to work. A current list ofthe pro-rated premium rates for these plan options are provided on the next page of this booklet.Part-time employees can choose to waive one or more of these benefit plans by submitting a signed “Part-TimeEmployee Opt-Out/Waiver of Insurance Coverage” form within 30 days of eligibility to the Human ResourcesBenefits Office. Employees choosing to waive coverage will not be able to elect that insurance coverage until thenext annual Open Enrollment period or sooner if they experience a qualifying life event.2022 - Part-Time Employee Benefit Monthly Premium Rates*Work Schedule20 hours per week (.5 FTE)Regence BlueShield PPORegence High Deductible Health PlanKaiser Permanente HMODelta DentalWillamette DentalVSP Vision24 hours per week (.6 FTE)Regence BlueShield PPORegence High Deductible Health PlanKaiser Permanente HMODelta DentalWillamette DentalVSP Vision28 hours per week (.7 FTE)Regence BlueShield PPORegence High Deductible Health PlanKaiser Permanente HMODelta DentalWillamette DentalVSP VisionEmployee OnlyEmployee Family 923.89 603.06 747.83 62.36 74.25 6.52 973.89 653.06 797.83 62.36 74.25 6.52 749.11 492.45 608.27 49.89 59.40 5.22 799.11 542.45 658.27 49.89 59.40 5.22 574.33 381.84 468.70 37.42 44.55 3.91 624.33 431.84 518.70 37.42 44.55 3.91*Part-time employees who work thirty (30) or more hours per week will make premium share contributions equal to those offull-time employees.Domestic Partner BenefitsIn order for a City employee to enroll a domestic partner and their dependents onto the City of Tacoma benefitplans, they must have a State-registered domestic partnership as established by RCW 26.60.030, and have a validCertification of State Registered Domestic Partnership. The City will also recognize domestic partnerships (withlegal documentation) that were validly formed in other jurisdictions, in accordance with RCW 26.60.090. TheCertification of State Registered Domestic Partnership AND the City of Tacoma “Dependent Eligibility VerificationForm” must be submitted to the Human Resources Benefits Office within the election period.NOTE: There are tax consequences involved with domestic partner benefits. The IRS does not recognizedomestic partnerships and therefore requires the City of Tacoma to tax the employee on the value of the costof the coverage the City of Tacoma provides to the employee’s domestic partner and domestic partner4 P a ge

dependent children. The value of the coverage provided to the employee is considered imputed income and issubject to additional withholding, unless the domestic partner and/or the domestic partner’s children qualify asthe employee’s IRC Section 152 tax dependent. (Below is a table with the value of the benefit plans for domesticpartner benefits. Employees will experience additional Federal Tax, Social Security, and Medicare withholding onthese dollar amounts per month.)Example: If your federal income tax rate is 20%, you will pay an additional 20% per month on the appropriate amount(s) listed below.(E.g. Regence PPO Medical Plan - Domestic Partner Only: 935.05 x 20% an additional 187.01 in taxes each month)PlanMedical – Regence (PPO)2022 - Domestic Partner Imputed IncomeChildren of DomesticDomestic PartnerPartner 935.05 712.55Domestic Partner Childrenof Domestic Partner 1,647.60Medical - Regence (HDHP) 623.72 475.30 1,099.02Medical - Kaiser Permanente (HMO) 695.51 639.09 1,334.60Dental - Delta Dental 63.02 53.13 116.14Dental - Willamette Dental 53.19 63.17 116.35Vision – Vision Services Plan 6.45 5.99 12.44Qualifying Life Event ChangesThe IRS has established rules for your elections, which dictate that once you have made your elections for theplan year, you must not change them until the next annual Open Enrollment period, unless a qualified life eventoccurs. Any change in election must be on account of and consistent with the qualified life event. You mustmake your benefit election changes within 30 days of the event and they are effective the first of the monthfollowing the qualified life event. In the case of births and adoptions, election changes must be made within 60days of the event and are effective the date of birth or placement for adoption. In cases of divorce, you mustremove your spouse and stepchildren, as they will no longer meet the City’s dependent eligibility requirements.Failure to do so may result in repayment of claims and costs associated with providing coverage to ineligibledependents.Please contact the Human Resources Benefits Office immediately if you experience a qualifying life event inorder to update your benefit plans timely. Dependent eligibility verification paperwork and supportingdocumentation will be required. There is detailed information on the benefits website regarding qualifyingevents with instructions on how to update your benefit enrollment information, as well as information aboutother changes you may want to consider depending on the type of qualifying event involved (e.g. enrollment inother benefit programs, changing beneficiaries, new W-4, etc.). Examples of qualified life events include: Marriage or establishment of a domestic partner relationship Birth, adoption, or placement for adoption of a child Divorce or termination of domestic partnerrelationshipDeath of a dependent Change in spouse/domestic partners’ employment or benefitplansLoss of other coverage Child loses or gains eligibility Change in status of employment 5 P a ge

Enrolling for BenefitsAll new full-time or part-time employees are required to attend a New Employee Orientation session uponbeing hired with the City of Tacoma. These sessions are held the first week of each pay period. During thissession, you will meet with staff from the Human Resources Benefits Office to learn more about your benefitsoptions and make your benefit elections through the City of Tacoma’s online enrollment portal Employee SelfService (ESS). New employees will be provided instructions on how to install and configure the RapidIdentity Applicationto a mobile device, to facilitate enrolling in benefits from a computer not connected to the City’s network. Existing employees who would like to access to ESS from a computer not connected to the City’ networkshould request access from the IT Service Desk at ITServiceDesk@cityoftacoma.org or 253.591.2057 duringbusiness hours (Monday – Friday 7:30 a.m. – 5:30 p.m.).Steps to Enroll for your City of Tacoma Benefit Plans through ESS on a Computer Connectedto the City’s Network: To enroll for benefits, employees must first initially set up their network login credentials on a City computerthat is connected to the City’s network. The Benefits Office staff will assist employees with this processduring their benefits orientation. If you have any problems with your log-in/password, contact the IT ServiceDesk at ITServiceDesk@cityoftacoma.org or 253.591.2057 during business hours (Monday – Friday 7:30 a.m.– 5:30 p.m.). Once this login set up is established, employees can complete their benefits elections by logging in toEmployee Self-Service (ESS) from any computer that is connected to the City’s network or log on to TacomaHub at www.cityoftacoma.sharepoint.com with their City network credentials and access ESS through theQuick Links drop down. Per the City of Tacoma’s “Information Systems Resources Usage Policy,” employees are not to share theirpassword information with anyone. Begin your enrollment by selecting Benefits. (see screenshot on next page)6 P a ge

This will take you to the enrollment screen.PLEASE NOTE: There are two (2) “New Enrollment” sections that must be completed during your initialelection enrollment period. One relates to the City offered voluntary life and disability benefits. Use the “NEW ENROLLMENT – Health and Welfare Benefits” link first. You will be prompted to add anydependents and/or beneficiaries in Step 2 and will enroll in your medical, dental, vision and voluntaryflexible spending options. After you make those benefit elections, then use the “NEW ENROLLMENT –Voluntary Life and Disability Benefits” link to enroll in any of the voluntary additional life and disabilityofferings. (See pages 17 and 19 for details on guarantee issue offerings that are only available during your initialenrollment election period.)7 P a ge

As you enroll in each benefit plan, make sure to checkthose plans.the dependents you want covered by each of Make sure to review your elections, hit Save at the end of your enrollment process, and then Print out a“Summary of Benefits Statement” for your records. Review the summary carefully. If you added dependents onto your medical, dental, and or vision benefits, you must also complete a“Dependent Eligibility Verification Form” and return it to the Human Resources Benefits Office with yoursupporting documentation within 30 days of your hire date date.If this information is not submitted in a timely manner, your dependents will be removed from yourbenefit plans and you will need to wait to add them during the next annual Open Enrollment period orsooner if you experience a qualifying life event.*NOTE: Employees must enroll for their benefit elections within 30 days of their hire date for benefits.Payroll DeductionsThe City of Tacoma has a bi-weekly payroll. Payroll deductions for benefit premiums will be taken on a pre-taxbasis for all benefit plans, except for the life and disability insurance plans and the deferred compensation Rothplan. Payroll deductions for all health and welfare benefit programs are taken the first pay period of the month.Deductions for pension plans, the Deferred Compensation Program, Section 125 Flexible Spending Plan, andHealth Savings Account (HSA) are taken out during each pay period of the month.Termination of BenefitsYour participation in the City of Tacoma sponsored benefit plans will terminate at midnight on one of the dateslisted below (depending on the benefit plan involved): The last day of the month you experience a change in employment status that causes the loss ofcoverage. The last day of the month in which you separate employment with the City of Tacoma. The date of your death. The last day of the month in which you request termination of a voluntary benefit plan coverage that isnot subject to a qualifying life event change.The Medical, Dental, Vision, and Section 125 Flexible Benefit Plan (Health Care FSA) benefits can be continuedthrough COBRA. (See the “Federally Required Notices” section of this booklet for more information on COBRA.)The employer-provided Basic Life Insurance and voluntary Additional Life Insurance and Dependent LifeInsurance benefit plans can be converted to individual policies with the insurance carrier. Participants enrolledin the deferred compensation program are able to keep their money in the City of Tacoma plans after separationof employment and there are many advantages to maintaining funds in a government qualifying 457 DeferredCompensation program versus rolling the funds over to an Individual Retirement Account (IRA). For moredetailed information on when your benefits end, refer to your summary plan description, benefit booklet, orpolicy. For more information on the health and welfare benefits and deferred compensation program contactthe Benefits Office. Please contact the applicable retirement plan administrator with any questions related toyour pension benefits.8 P a ge

Benefits Video LibraryThere is a series of short videos available to assist you in better understanding the benefit plan offerings locatedon the benefits website. Most of the videos are about 5 minutes in length and provide a good overview of howour benefit programs work and provide a comparison of the plan options available. You are encouraged to taketime to review these videos to assist you in making an informed decision with your benefit plan elections. Thecurrent video topics include: Medical Terms & ConceptsVision BenefitsLife and AD&D Insurance Medical Plan Overview Dental Benefits Wellness Flexible Spending Account (FSA) Disability Benefits How to Use Your HSA High-Deductible Health Plan with HSADisclaimer: People with hearing or speech impairments may request this information in an alternative formatby contacting the City of Tacoma Benefits Office at 253.573.2345 or via email at benefits@cityoftacoma.org.Questions/ Contact InformationIf you have any questions about your City of Tacoma benefitplans or would like to find additional information andresources, please contact the Human Resources BenefitsOffice or visit our Benefits website atwww.cityoftacoma.org/benefits. Some of the informationavailable on the website includes but is not limited to: Plan booklets, summary of benefits, certificatebookletsBenefit formsProvider contact information and website linksBenefits video library253.573.2345CONTACT ma.org/benefits747 Market Street, Room 1420, Tacoma, WA 984029 P a ge

y)CO-INSURANCE(For Most Services)OFFICE VISITS(No Deductible)TELEHEALTHPREVENTIVE(No Deductible)PRESCRIPTIONSRetailGenericPreferred BrandNon-Preferred BrandSpecialty Formulary*SpecialtyNon-Formulary*Mail-OrderNURSE LINECONTACTINFORMATIONPREMIUMKaiser Permanente(HMO Plan)Regence BlueShield(PPO Plan)The City of Tacoma provides three health plan options for employees to choose from: two“traditional plans” and one “high-deductible health plan with a health savings FERRED PROVIDERNON-PARTICIPATINGPROVIDER*EMPLOYEE RESPONSIBILITY 100/ 200 250/ 500 1,500/ 3,000 1,500/ 3,000N/A10%40%50% 10 Primary, 20Specialist copay DeductibleCare Chat and OnlineVisits - 0 20 copay 20 copay 40%coinsurance 20 copay 50%coinsurance(MD Live) 10 copay(Virtual Visit) 10 copay(Virtual Visit) 10copay(Virtual Visit) 50% 00%0%50%(30 day supply) 5 25(30 to 90 day supply) 5 35 50N/A 60 75N/A 150(90 day supply)Two times the drugco-pay. Available whendispensed throughKaiser Permanente’smail-order service.Access 24/71.800.297.6877(90 day supply)Two times the drug co-pay. Available when dispensed throughRegence’s mail-order service.Access kp.org/wawww.regence.com 50 Month Single Coverage (Pre-Tax) 100 Month Family Coverage (Pre-Tax)*Specialty medications must be registered through Accredo through Regence BlueShield.10 P a g e

Medical PlanOptions(HDHP/HSA)Regence BlueShield(HDHP Plan)The City of Tacoma provides three health plan options for employees to choose from: two“traditional plans” and one “high-deductible health plan with a health savings account(HSA).”PREFERRED PROVIDEROUT-OF-POCKETParticipants are responsible for the full cost of all expenses until the annual deductible is satisfied.Then the below schedule applies up to the annual Out-of-Pocket Maximum. 3,000/ 6,000No CoverageMAXIMUM(Single/Family)CO-INSURANCE(For Most Services)20%PREVENTIVE(No Deductible)TELEHEALTHPRESCRIPTIONS*Retail/ MailGenericPreferred BrandNon-Preferred BrandHEALTH SAVINGSACCOUNT (HSA)NURSE LINEHSA UMNON-PARTICIPATINGPROVIDER*EMPLOYEE RESPONSIBILITY 1,500/ 3,000No CoverageANNUAL DEDUCTIBLE(Single/Family)PARTICIPATING PROVIDER40%50%50%0%(MD Live) After Deductible 20%(Virtual Visit) After(Virtual Visit) After Deductible(Virtual Visit) After Deductible 20%Deductible 50%20%Deductible is waived for certain chronic conditions drugs included in the Optimum Value MedicationList. No charge for certain FDA-approved contraceptives and certain preventive drugs andimmunizations at a participating pharmacy.(30 to 90 day supply)20% after the annual deductible is satisfied – member may be balanced billed forNon-participating pharmacy used.HSA IRS AnnualContribution LimitsEmployer AnnualContributions toHSA*** 3,650/ 7,300**(Employee/Family)Employee OnlyEmployee Family 500 without Wellness 1,000 without Wellness 1,250 with Wellness 2,500 with WellnessAccess 24/7 1.800.267.6729Access 24/7 365 days .0047www.regence.com 50 Month Single Coverage (Pre-Tax) 100 Month Family Coverage (Pre-Tax)* Specialty medications must be registered through Accredo through Regence BlueShield.** Individuals age 55 and over can make an additional annual 1,000 catch-up contribution. Employer contributions to the HSA are pro-ratedper pay period.These types of medical plans are not the right fit for everyone and not everyone can elect this plan if they are not eligible to establisha Health Savings Account (HSA). Review the “Health Savings Account (HSA)” section of this booklet, benefit videos, and FrequentlyAsked Questions document on the benefits website for more details before electing this plan option.11 P a g e

DentalPlanOptionsWillamette Dental Group(DHMO Plan)Delta Dental of Washington(PPO Plan)The City of Tacoma provides two employer-paid dental plan options for employees tochoose between.DELTADENTAL PPODENTISTIN-NETWORK*DELTA DENTALPREMIER DENTISTNONPARTICIPATINGDENTISTEMPLOYEE L BENEFITMAXIMUM(Single/Family)OFFICE VISIT COPAYDIAGNOSTIC/PREVENTIVENone 5 Per Office VisitN/A 5 Per Office VisitAnnual Deductible Waived - 0%Class I: Exam, Cleaning, X-ray, Fluoride, Sealant andPeriodontal MaintenanceMAJOR 5 Per Office VisitPREMIUM 50/ 150 2,000 5 Per Office VisitSPECIALTY OFFICEVISITCONTACTINFORMATION 50/ 150None**BASIC/RESORATIVEORTHODONTIA***None 5 Per Office Visit, 150 PreTreatment copay/ 400Comprehensive copay 30 copay0%Class II: Restorations, Endodontics, Periodontics, OralSurgery Crowns20%Class III: Dentures, Partial Dentures, Implants,Bridges50%No Coverage ettedental.comwww.DeltaDentalWA.com 0 Month Single Coverage 0 Month Family Coverage*Members are responsible for charges in excess of 100 for Out-of-Area Emergency Care with Willamette Dental Group.**Temporomandibular Joint Disorder (TMJ) has a 1,000 annual maximum/ 5,000 lifetime maximum with WillametteDental Group.*** 150 pre-treatment co-pay is applied to the full 400 comprehensive co-pay if the member proceeds with thetreatment plan for orthodontia with Willamette Dental Group.12 P a g e

Vision PlanOptionsKaiser Permanente(HMO Plan)*VSPThe City of Tacoma provides two employer-paid vision plan options for employees.OUT-OFNETWORKIN-NETWORKIN-NETWORK(Kaiser Permanente)EMPLOYEE XAM (PrimaryCare/ l/Trifocal)FRAMES 10 copay 10 copay charges inexcess of 50 25 copay 25 copay 0(additional copays apply forlens enhancements)Charges inexcess of 50/ 75/ 100Charges in excess of the 150 allowance/ 170featured frame brandsallowance (20% discountprovided above allowance) 80 allowance Walmart /Sam’s Club /Costco CONTACTSUp to 60 copay chargesin excess of 150 allowance(in lieu of glasses)LASER VISION5% - 15% discount providedCONTACTINFORMATIONPREMIUMNoneCharges inexcess of 70Charges inexcess of 105 (in lieuof glasses)No coverageavailable 10 copayCharges in excess of 150 allowance (appliesto all hardware)***No Coverage tps://wa-eyecare.kaiserpermanente.org/ 0 Month Single Coverage 0 Month Family Coverage*Employees who enroll in the Kaiser Permanente HMO medical plan have their vision coverage provided through theirmedical plan and cannot elect the VSP vision plan.- Benefits

who are hired to work at least 20 hours a week may elect employee benefits. Part-time employees who work (30 -39 hours) pay the same cost for their benefits as a full -time employee. Part -time employees who work (20- 29 hours) pay a pro-rated share of the cost. If they do not choose to elect employee benefits, they must complete a "